| NPI | 1689319410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61580911) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10646) |
| 163W00000X Registered Nurse (Licence: CT 159758) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 295659) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2024-12-13 |